Organization
AFC OF QUEEN CREEK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URISSA BOLINE (CREDNETIALING MGR)
(480) 726-2287
Entity
Organization
Contact information
Practice address
85 W COMBS RD, STE 109, SAN TAN VALLEY, AZ 85140-9105
(480) 882-9105
(480) 458-5833
Mailing address
1839 S ALMA SCHOOL RD, STE 354, MESA, AZ 85210-3028
(480) 726-2287
(888) 316-9272
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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